Active NPI
Robert Kyle Hurst, O.D.
- Optometrist
- Bentonville, AR
National Provider Identifier
1346301736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2448
- Practice address
- 1412 SE 14TH St
Bentonville, AR 72712-6812 - Phone
- (479) 271-9700
- Fax
- (479) 271-9771
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2448 | AR | Primary |
Addresses
Primary practice location
1412 SE 14TH St
Bentonville, AR 72712-6812
Mailing address
1412 SE 14TH St
Bentonville, AR 72712-6812
Phone (479) 271-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Bentonville, AR
- NPI 1457577256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346301736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 SE 14TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126812",
"telephone_number": "479-271-9700",
"fax_number": "479-271-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 SE 14TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126812",
"telephone_number": "479-271-9700",
"fax_number": "479-271-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "ROBERT",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.